Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/9628
Title: Suggested MRI criteria for surgical decompression in acute spinal cord injury. Preliminary observations.
Authors: Silberstein, M;Brown, D;Tress, B M;Hennessey, O F
Affiliation: Department of Radiology, Austin Hospital, Heidelberg, Victoria, Australia.
Issue Date: 1-Oct-1992
Citation: Paraplegia; 30(10): 704-10
Abstract: The effect of spinal cord compression identified with magnetic resonance imaging (MRI), on neurological prognosis, was retrospectively evaluated in 36 patients with acute spinal cord injury. Of the 21 patients without cord compression, 16 had potentially reversible injury (normal spinal cord or cord oedema), all having functional recovery. Of the 15 patients with cord compression, 3 had operative decompression. In the 12 patients who did not undergo surgery, the degree of recovery was directly related to the magnitude of spinal cord compression, only one of the patients with moderate or marked cord compression having useful motor function at follow up. In contrast, the 3 patients with surgical decompression had at least 2 grades of improvement, all having functional recovery. These findings raise the possibility that MRI may be used to identify a patient group who will benefit from surgical decompression. A numerical index is proposed to prospectively identify patients for surgical decompression, and further studies are underway to evaluate this.
Internal ID Number: 1448298
URI: http://ahro.austin.org.au/austinjspui/handle/1/9628
DOI: 10.1038/sc.1992.137
URL: http://www.ncbi.nlm.nih.gov/pubmed/1448298
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Child
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Paraplegia.pathology
Prognosis
Spinal Cord.pathology
Spinal Cord Compression.pathology.surgery
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.